AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1119

INTERVENTIONAL

Flat Panel Detector Angiographic CT in the Management of Aneurysmal Rupture During Coil Embolization

T. Engelhorn, T. Struffert, G. Richter, M. Doelken, O. Ganslandt, W. Kalender and A. Doerfler

From the Departments of Neuroradiology (T.E., T.S., G.R., M.D., A.D.) and Neurosurgery (O.G.) and Institute of Medical Physics (W.K.), Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.

Please address correspondence to Tobias Engelhorn, MD, Friedrich-Alexander University Erlangen-Nuremberg, Department of Neuroradiology, Schwabachanlage 6, D-91052 Erlangen, Germany; e-mail: tobias.engelhorn{at}nrad.imed.uni-erlangen.de

SUMMARY: Angiographic CT (ACT) produces CT-like images within minutes in the angiography suite. We present the cases of 2 patients with intraprocedural aneurysmal rupture in which ACT enabled the neuroradiologist to rapidly assess the extent of bleeding during endovascular treatment. Additionally, ACT revealed pronounced rebleeding within the time between conventional CT and onset of treatment. In the management of aneurysmal rupture during coil embolization, ACT may be a valuable adjunct.






Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X